Individual provider · NPI-1

Maite Jacquay Corbin, DNP, APRN, FNP-BC

Nurse Practitioner, Family · Sterling, VA

NPI number1275188559
StatusActive
Last updated in NPPESMar 6, 2024

Details

NPI
1275188559
Entity type
Individual (NPI-1)
Name
Mrs. Maite Jacquay Corbin
Credential
DNP, APRN, FNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Aug 5, 2019
Certification date
Mar 6, 2024
Last updated
Mar 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family0024177940VAYes

Other names

  • Maite Jacquay Cepeda-Allende (Former Name)

Practice location

46440 Benedict Drive , Suite 107
Sterling, VA 20164-6602

Phone 703-450-1125 · Fax 703-450-1145

Mailing address

224-D Cornwall Street, Nw, Suite 403
Leesburg, VA 20176-3346

Phone 703-737-6010 · Fax 703-443-8643

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